Zoe House, LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

2079-01-001 Issued in VA

Legal business name

ZOE HOUSE, LLC

Practice address

4936 Black Oak Rd
North Chesterfield, VA 23237-2139

Phone

(804) 608-9631

NPI assigned

Feb 26, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Tarvaris J McCoy

Title

Ceo

Phone

(804) 381-2501

Specialties & licenses 1

Addresses

Tax ID family

Zoe House LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Zoe House LLC

  • Non-emergency Medical Transport (VAN)
  • Richmond, VA
  • NPI 1346762226
  NPD tax ID
• Zoe House, LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Richmond, VA
  • NPI 1770974370
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1393372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393372800000",
    "number": "1992120018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26432",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232606432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4936 BLACK OAK RD",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232372139",
            "telephone_number": "804-608-9631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZOE HOUSE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-26",
        "last_updated": "2014-02-26",
        "status": "A",
        "authorized_official_last_name": "MCCOY",
        "authorized_official_first_name": "TARVARIS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "804-381-2501",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "VA",
            "license": "2079-01-001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aimee E Zepnick, LNP, FNP-C
• Indinesya Zhao
• Yasaman Zifan
• Laura Katherine Zimmerman, PHARMD
• Jennifer Znotens, M,A., CCC-SLP
• Hannah Joelle Zuloaga

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in North Chesterfield, VA
• Providers in North Chesterfield, VA by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.